Nokea
The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion what is the most appropriate action for the nurse to take?
- A. Ask for another assignment.
- B. Leave work.
- C. Transfer to another floor.
- D. Protest to the supervisor.
Correct Answer: A
Rationale: The nurse should not abandon the patient, but ask for another assignment.
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The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order what is his or her legal obligation?
- A. To question the health care provider
- B. To seek advice from the family
- C. To discuss it with the patient
- D. To follow the order
Correct Answer: D
Rationale: When a DNR order is written in the chart, the nurse has a duty to follow the order. Questioning the health care provider, seeking advice from the family, and discussing it with the patient are not legal obligations of the nurse.
When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?
- A. Privacy
- B. Disclosure
- C. Confidentiality
- D. Absolute secrecy
Correct Answer: C
Rationale: The nurse has an ethical and legal duty to protect information about a patient and preserve confidentiality. Some disclosures are legal and anticipated, and may not be subject to the rules of confidentiality. None of the information in a chart is considered secret.
A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital?
- A. Only offers protection while on duty.
- B. Is limited in the amount of coverage.
- C. Is difficult to renew.
- D. Can be terminated at any time.
Correct Answer: A
Rationale: Most institutional insurance only provides liability coverage if the nurse is on duty at that facility.
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
- A. Standards of care
- B. Regulation of practice
- C. American Nurses' Association Code
- D. Nurse practice act
Correct Answer: D
Rationale: It is the nurse's responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses' code are not laws that the nurse should refer to before initiating this treatment.
The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care. What is this legally binding situation?
- A. Nurse-patient relationship
- B. Accountability
- C. Advocacy
- D. Standard of care
Correct Answer: A
Rationale: When the nurse assumes responsibility for a patient's care, the nurse-patient relationship is formed. This is a legally binding 'contract' for which the nurse must take responsibility. Accountability is being responsible for one's own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited.